Topikal Kortikosteroid Kullanımında İlaç Uyumuna Hasta Bakış Açısı

Abstract

Amaç: Dermatolojide topikal tedaviye uyum düşüktür. Topikal kortikosteroidler (TKS) dermatoloji pratiğinde sık kullanılan, etkin bir tedavidir. Fakat hastalar bu ilaçlara karşı yersiz korku yaşamakta ve ilaç kullanımı kötü etkilenmektedir. Çalışmada amaç ilacın reçete edildiği andan reçetenin alındığı ana kadar uyumu etkileyebilecek faktörleri incelemektir. Gereç ve yöntem: Çalışma kartopu örnekleme metodu ile internet yoluyla gerçekleştirilmiştir. Hazırlanan anket formu ile toplanan verilerin analizi SPSS 25.0 ile yapılmıştır. İstatistiksel olarak anlamlı p değeri p<0,05’tir. Bulgular: Çalışmaya 136 kişi TKS katılmıştır. Katılımcıların %90’ından fazlası hekimin ilaç kullanımını anlattığını ve farklı öneriler olsa da hekimin tarifindeki gibi kullandığını ifade etmiştir. Anladığından emin olma ve aklında kalma puanı 10 puanlık ölçekte 8’in üzerindedir. Topikal steroid kaygılarına 10 tam puan verme katılımcıların %20’sinde gözlenmiştir. Hekim ve eczane deneyimi TKS kullanımı geri bildirimlerinde etkilidir. Kadınlarda çocuğu ile ilgili kaygılar erkeklere göre, çocuğu için ve hem kendisi hem çocuğu için kullananlarda kaygı daha yüksektir. Tartışma: Hekim ve eczacı süreçlerinde çok fazla problem yaşanmamaktadır. Fakat eczane ayağında hastalar yanlış bilgiye maruz kalabilmektedir. Bu durum TKS korkusunu etkilemektedir. TKS kaygısı katılımcılarda makul düzeydedir. Bu korku çocuk için kullanımda kadınlarda ve yaş ile artmaktadır. Sonuç: Hastaların hekim sonrası süreçte yanlış bilgilendirilmesinin önüne geçmek amacıyla dermatoloji hekimi dışı kaynakların özellikle eczane ayağının bilinçlendirilmesi, dermatoloji hekimi, diğer hekimler ve eczane üçlüsünün paralel çalışma biçimi faydalı olabilir.

Keywords

• İlaca uyum
• Topikal Uygulama
• Kortikosteroid

Patient Perspective on Medication Adherence in Topical Corticosteroid Use

Abstract

Objective: Topical treatment compliance in dermatology is poor. Topical corticosteroids (TCS) are effective dermatological treatments. Patients experience concern, which impacts their adherence. This study aims to explore the factors affecting adherence from the time the drug is prescribed to the time the prescription is taken. Materials and methods: This study was conducted by snowball sampling via the Internet. The data were analyzed with SPSS 25.0. The statistically significant p-val is p<0.05. Results: 136 people participated in the study. More than 90% of them stated that the physician explained the medication use and that they used it as described, even if there were different recommendations. The score for being sure of understanding and retention was above eight on a 10-point scale. Giving 10 points to TCS concerns was observed in 20% of them. Physicians and pharmacists positively affect TCS adherence. Concerns about their child were higher in women, and anxiety was higher in those who used for their child and in those who used for both themselves and their child. Discussion: There are a few problems in the physician and pharmacist process. However, patients may be exposed to misinformation at the pharmacy. This situation affects the fear of TCS. The participants' fear of TCS was reasonable. This fear increases in women in pediatric use and with age. Conclusion: To prevent misinformation in the post-physician process, it may be beneficial to raise awareness of non-dermatologist sources, especially the pharmacy. Dermatologists, other physicians, and pharmacies.should work parallel within.

Keywords

• Drug Adherence
• Drug Compliance
• Cutaneous Administration
• Corticosteroid

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